Endobronchial Valve Used as Salvage Therapy in a Mechanically Ventilated Patient with Intractable Life-Threatening Haemoptysis

• Published in: Respiration Vol. 93; no. 6; pp. 436 - 440
• Main Authors: Lalla, Usha, Allwood, Brian W., Sinha Roy, Soumitra, Irusen, Elvis M., Koegelenberg, Coenraad F.N.
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland S. Karger AG 01.01.2017
• Subjects: Adult; Antitubercular Agents - therapeutic use; Artificial respiration; Bronchoscopy; Care and treatment; Case studies; Complications and side effects; Hemoptysis; Hemoptysis - complications; Hemoptysis - diagnostic imaging; Hemoptysis - surgery; HIV Infections - complications; Humans; Implants, Artificial; Male; Novel Insights from Clinical Practice; Prostheses and Implants; Prosthesis; Pulmonary tuberculosis; Radiography, Thoracic; Respiration, Artificial; Salvage Therapy; Shock, Hemorrhagic - etiology; Shock, Hemorrhagic - surgery; Suction; Tuberculosis, Pulmonary - complications; Tuberculosis, Pulmonary - diagnostic imaging; Tuberculosis, Pulmonary - therapy; South Africa; Endobronchial valve; Haemoptysis

Treatment options for intractable life-threatening haemoptysis in mechanically ventilated patients with structural lung disease who do not respond to bronchial artery embolisation (BAE) and who are deemed unfit for surgery are limited. A 26-year-old HIV-positive male with a poorly preserved CD 4 cou...